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View Full Paper International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 582 ISSN 2250-3153 The Effectivity of Maternal and Child Health Care Center Management in Sampang Regency Henny Hidayanti*, Mardiyono** *Researcher of Research and Development Agency, East Java **Representative Researcher of BKKBN, East Java DOI: 10.29322/IJSRP.8.5.2018.p7775 http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7775 Abstract- Maternal and child health care center is developing form of Purnama or Mandiri maternal and child health care that adds Early Childhood Education and Family Planning Coordinating Board (BKB) service. About 33,5% of 191 maternal and child health care center in Sampang Regency has gone optimal. The research approach used is descriptive qualitative research with cross-sectional sample using Slovin formula. This research was conducted in Sampang. The result of this research shows that the management of Maternal and child health care center in Sampang is 77,89% effective including 59,52% in planning, 66,84% in Monev. The financial budget for Maternal and child health care center in Sampang has been 96,03% effective, overall. Index Terms- Maternal and Child Health Care, Management, Budget, Childhood Education I. INTRODUCTION In the future, the challenge of national health development is the increasing of Indonesia human resource quality which is measured by Human Development Index (IPM). Health and education development is one of the human fundamental need (Handoko, 2014). It also takes the role to increase the quality of human resource (Hapsara, 2014). Since March 2012, East Java government proclaims 10.000 Maternal and child health care service that will be available in every village. This program is the form of Early Childhood Education holistic integrative including Early Childhood Education that does not only give education but also the fulfillmentof nutrient, health, character, prosperity, and protection. The essence of Early Childhood Education Holistic integrative is the awareness of children’s growth is not only supported by education but many more (Lydia Freyani, 2013). Holistic and integrative means education is not only for children but also the elderly. Furthermore, In the implementation, it corporates or integratedwith Department of Education, Health,National Family Planning Coordinating Board (BKKBN), National Development Planning Agency (Bappemas), Library official, BPPKB which then teach them about living healthy, building prosperous and happy family. Maternal and child health carecenter is developing Purnamaor Mandiri maternal and child health care added with Early Childhood Education service and BKB (kid’s family maintenance). Maternal and child health carecenter is not a new organization for society. Instead,It is the function and activity expansion of Purnamaand Mandiri Maternal and child health care, including Maternal and child health care itself, BKB and Early Childhood Education. This organization takes care of kids’ health, education and parenting. Maternal and child health care center is made to build future generation which has international quality, better character and Indonesia’s personality. There are about 2.744.132 (68,22%) children under age in East Java that do not get Early Childhood Education Holistic Integrative service. In another side, about 1.278.206 children get partial Early Childhood Education service that does not include children’s essential growth such nutrient, health,care, protection and education (BKKBN, 2012) The government will face a serious problem of children’s growth if they do not immediately fix this service expansion within early childhood. The problem occur probably influence children’s growth and development which then worse human resource’s quality and become country’s burden, in the end. Hence, the government of East Java seriously try to fix the problem of children’s growth. Their action is proven by the new regulation of Governor number 63, 2011, about the development of Holistic and Integrative children. That new regulation becomes the pointing law for maternal and child health care center which aims to fulfill all essential need so that they can grow optimally and become the leading province (Kominfo, 2013). The implementation of maternal and child health care center in East Java precede President’s regulation number 60, 2013. It shows the government of East Java toward children’s education. The education in maternal and child health care center is included in Regional Medium-Term Development Plan (RPJMD) of East Java 2014-1019. The main target of maternal and child health carecenter right now is still focusing on kids whose aged 0 to 2 years old. Yet, the utility of maternal and child health carecenter is still low which is proven by 7,41% of rough participant number (APK) for Early Childhood Education(Lydia Freyani, 2013). This case becomes the current problem in developing maternal and child health care center program (UNICEF, 2009). In Sampang, the maternal and child health care center which is optimal is still 33,5% from 191 existing maternal and child health care center (Dinkes Sampang, 2016). It is shown that the management of it is still low. This problem is caused by the http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7775 www.ijsrp.org International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 583 ISSN 2250-3153 quality of management which is not really professional, the limitedness of organized institution number, distribution and quality of organizer and unfulfilled service in essential need aspect (Handayani, 2011). Moreover, appropriate management is needed to solve the problem and to increase the role and function of maternal and child health carecenter. Due to the problem above, a research about the causes of maternal and child health care center utility effectiveness is needed by taking attention to its management. II. REVIEW OF LITERATURE 2.1 The concept of holistic-integrative maternal and child healthcare The importance of early childhood’s handling holistically and integrative stated by Gutama (2003) child’s handling need to be managed holistically and integrated. It is strengthened from medical, neurology, psycho-sociocultural and education sight. Then, Sumarno (2003) strengthens Gutama’s statement whether a brain must get good and balance stimulation. Wrong mind setting will cause bad behavior in their adulthood. In contrast, Alisjahbana (2003) clarified that growth considers many aspects such as health, nutrient, emotion, social and education. All of this aspect depends on one other. The succeeded and failed development in one aspect will influence other aspect development. The development of holistic-integrated early-aged children is seen from the continuous service in term of service system that must be coordinated and integrated well. Another way of seeing its development is the implementation of child’s maternal education and society’s participant. Further, there must be an occasion to access the program as well as their culture and give service to incapability children. Based on the National Development Planning Agency (2008), the service for holistic early-aged children can be created by: (1) the complement of service to fulfill children’s essential needs based on the age segmentation (from 0 to 6 years old), (2) the quality aspect of all service for children, including: health and nutrient, education, nurture and protection for them. Meanwhile, the service for holistic and integrative early-aged children can be created by (1) the corporation of early childhood development institutes to fulfill children’s essential needs well, (2) the implementation of early childhood development in one institution. III. RESEARCH METHOD This research uses qualitative approach by taking some samples from a population using questionnaires about maternal and child health care center. The respondents for this case are the active members of maternal and child health care center. The sample is taken with cross-sectional using Slovin formula. N 191 191 n = = = = 65,64 ≈ 66 people 1 + N (e)2 1 + 191 (0,01) 2,91 Note: n : sample size N : population size e : the percentage of not being careful in sampling that can be tolerated at least 10% In this research, the writer only takes 126 members who are leading the management of maternal and child health center as the representative for the population in Sampang. IV. RESULT AND DISCUSSION 4.1 Management The management of maternal and child health care center include the plans, implementations, and coordination concerning its activities so that it will be running as well as its plans. This management also aims to achieve the goals of maternal and child health care center. Table of respondent distribution toward maternal and child health care center management in Sampang 2017 Management Yes No Total a. Organization (100%) Very 1. Organization structure - 126 effective (100%) (Yes, 2. Job division based on the organization structure - 126 >80%) http://dx.doi.org/10.29322/IJSRP.8.5.2018.p7775 www.ijsrp.org International Journal of Scientific and Research Publications, Volume 8, Issue 5, May 2018 584 ISSN 2250-3153 (100%) 3. The officer’s commutation based on the organization structure 126 - 100% 0% 100% b. Plans (100%) 1. Well plans - 126 Not (25,39%) (74,61%) effective 2. Target determination/ goals for the plans 32 94 (40%- (53,17%) (46,83%) 59,99%) 3. Plans change 67 59 59,52% 40,48% 100% c. Implementation (100%) 1. Plans compatibility - 126 (100%) 2. Preparation - 126 (100%) 3. Job division - 126 (100%) Very 4. Officers’ activeness and creativeness - 126 effective (100%) (Yes, 5. Target compatibility - 126 >80%) (100%) 6. House visits - 126 (100%) 7. Evaluation - 126 (100%) 8. Activity report - 126 100% 0% 100% d. Control (100%) 1. Controlling - Very 126 effective (100%) 2. Educative (Yes, 126 >80%) (70,63%) (29,37%) 3. Routine 89 37 90,21% 9,79% 100% e. Monitoring and evaluation 110 16 1. Monitoring and evaluating (87,30%) (12,70%) Very 110 16 2. Routines effective (87,30%) (12,70%) (Yes, 126 3.
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